DIVERSICARE OF HUTCHINSON

Nursing Home Inspector

1202 E 23RD AVENUE
HUTCHINSON, KS 67502
Reno County
Phone: 620-669-9393
Provider Number: 175114
Last Inspection: 02/15/2017

About the Nursing Home

Number of Beds: 73
Number of Residents: 61
Beds Available: 12
Percent Occupancy: 84%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

7

Facility
26

County
29

KS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2017
57

2015
65

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/15/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 3/3/2017
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 3/3/2017
 

7/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 8/17/2015
 
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 8/17/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 8/17/2015
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 8/17/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/17/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 8/17/2015
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 8/17/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/17/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 8/17/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 8/17/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 8/17/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/17/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 8/17/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 8/17/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 8/17/2015
 

3/27/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 6/3/2014
 
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 6/3/2014
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 6/3/2014
 
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Pattern : Minimal 4 6/3/2014
 
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 6/3/2014
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 6/3/2014
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 6/3/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 6/3/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/3/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 6/3/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 7/30/2014
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 6/3/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 7/30/2014
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 6/3/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/3/2014
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 7/30/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/3/2014
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 6/3/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 61 56.50 52.13
Registered Nurses 0.77 0.68 0.82
Licensed Practical / Vocational Nurses 0.71 0.73 0.65
Certified Nursing Assistants 2.56 2.82 2.63
Total Staff Hours 4.03 4.22 4.10

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KS State Avg%
of high risk long-stay residents with pressure ulcers 3 2 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 90 91 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 91 95
of long-stay residents experiencing one or more falls with major injury 4 8 4
of long-stay residents who have depressive symptoms 3 9 6
of long-stay residents who lose too much weight 11 7 7
of long-stay residents who received an antianxiety or hypnotic medication 28 21 24
of long-stay residents who received an antipsychotic medication 24 17 19
of long-stay residents who self-report moderate to severe pain 9 15 8
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 18 19
of long-stay residents whose need for help with daily activities has increased 16 18 16
of long-stay residents with a catheter inserted and left in their bladder 3 2 2
of long-stay residents with a urinary tract infection 6 6 5
of low risk long-stay residents who lose control of their bowels or bladder 30 33 39
of short-stay residents assessed and appropriately given the pneumococcal vaccine 65 73 78
of short-stay residents who had an outpatient emergency department visit 20 16 11
of short-stay residents who made improvements in function 62 68 70
of short-stay residents who newly received an antipsychotic medication 8 2 2
of short-stay residents who self-report moderate to severe pain 21 23 19
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 68 68 74
of short-stay residents who were rehospitalized after a nursing home admission 22 17 19
of short-stay residents with pressure ulcers that are new or worsened 0 53 55